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Individual

DR. BRANDON ENRIQUE OLIVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2128 W 34TH ST, HOUSTON, TX 77018-6003
(713) 682-4442
(713) 682-3659
Mailing address
2128 W 34TH ST, HOUSTON, TX 77018-6003
(713) 682-4442
(713) 682-3659

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8469
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
606088
BCBS
TX
Enumeration date
08/14/2006
Last updated
12/05/2011
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